2025-2026 Regular SessionIllinois Legislature

HB2688: NURSE PRACTICE ACT MIDWIVES

Legislative Summary

Amends the Nurse Practice Act. Makes changes in provisions concerning definitions. In provisions concerning written collaborative agreements, provides that, in the case of home birth services provided by a certified nurse midwife, a written collaborative agreement may permit, but shall not prohibit, a certified nurse midwife to provide home birth services within the scope of the certified nurse midwife's training and experience. Provides that, if a collaborating physician does not provide home birth services, home birth services may be provided by a certified nurse midwife working under a written collaborative agreement with the collaborating physician if the services are provided in a federal primary care Health Professional Shortage Area with a Health Professional Shortage Area score greater than or equal to 12 or a maternity care desert. Provides that an advanced practice registered nurse certified as a nurse midwife may provide out-of-hospital birth services in a licensed birth center without a written collaborative agreement if the advanced practice registered nurse certified as a nurse midwife is granted clinical privileges for out-of-hospital birth services by the clinical director of the birth center. Provides that a physician shall not be liable for the acts or omissions of an advanced practice registered nurse solely on the basis of having signed a collaborative agreement, an order, a standing medical order, a standing delegation order, or another order or guideline authorizing an advanced practice registered nurse to perform certain acts, unless the physician has reason to believe that the advanced practice registered nurse lacked the competency to perform the act or acts or committed willful and wanton misconduct. Removes provisions concerning definitions; prescriptive authority; and full practice authority. Makes other changes.

Demographic Impact

Overall analysis of equity impact

70% Positive
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Bill History

2/4/2025
Filed with the Clerk by Rep. Anna Moeller
House of Representatives
2/6/2025
First Reading
House of Representatives
2/6/2025
Referred to Rules Committee
House of Representatives
2/18/2025
Added Co-Sponsor Rep. Adam M. Niemerg
House of Representatives
2/21/2025
Added Co-Sponsor Rep. Chris Miller
House of Representatives
2/21/2025
Added Co-Sponsor Rep. Brad Halbrook
House of Representatives
3/4/2025
Assigned to Health Care Licenses Committee
House of Representatives
3/18/2025
House Committee Amendment No. 1 Filed with Clerk by Rep. Anna Moeller
House of Representatives
3/18/2025
House Committee Amendment No. 1 Referred to Rules Committee
House of Representatives
3/19/2025
Do Pass / Short Debate Health Care Licenses Committee; 014-000-000
House of Representatives
3/19/2025
House Committee Amendment No. 1 Tabled
House of Representatives
3/19/2025
Placed on Calendar 2nd Reading - Short Debate
House of Representatives
3/24/2025
House Floor Amendment No. 2 Filed with Clerk by Rep. Anna Moeller
House of Representatives
3/24/2025
House Floor Amendment No. 2 Referred to Rules Committee
House of Representatives
3/25/2025
House Floor Amendment No. 2 Rules Refers to Health Care Licenses Committee
House of Representatives
3/26/2025
House Floor Amendment No. 2 Recommends Be Adopted Health Care Licenses Committee; 014-000-000
House of Representatives
3/26/2025
Second Reading - Short Debate
House of Representatives
3/26/2025
Held on Calendar Order of Second Reading - Short Debate
House of Representatives
3/27/2025
Added Chief Co-Sponsor Rep. Kelly M. Cassidy
House of Representatives
3/27/2025
Chief Co-Sponsor Changed to Rep. Kelly M. Cassidy
House of Representatives
4/8/2025
Chief Sponsor Changed to Rep. Yolonda Morris
House of Representatives
4/9/2025
House Floor Amendment No. 2 Adopted
House of Representatives
4/9/2025
Placed on Calendar Order of 3rd Reading - Short Debate
House of Representatives
4/9/2025
Third Reading - Short Debate - Passed 114-000-000
House of Representatives
4/9/2025
Added Co-Sponsor Rep. Joyce Mason
House of Representatives
4/9/2025
Added Chief Co-Sponsor Rep. Camille Y. Lilly
House of Representatives
4/9/2025
Added Chief Co-Sponsor Rep. Suzanne M. Ness
House of Representatives
4/9/2025
Added Chief Co-Sponsor Rep. Anna Moeller
House of Representatives
4/9/2025
Added Co-Sponsor Rep. Tracy Katz Muhl
House of Representatives
4/9/2025
Added Co-Sponsor Rep. Laura Faver Dias
House of Representatives
4/9/2025
Added Co-Sponsor Rep. Maura Hirschauer
House of Representatives
4/9/2025
Added Co-Sponsor Rep. Debbie Meyers-Martin
House of Representatives
4/9/2025
Added Co-Sponsor Rep. Kimberly Du Buclet
House of Representatives
4/9/2025
Added Co-Sponsor Rep. Dagmara Avelar
House of Representatives
4/9/2025
Added Co-Sponsor Rep. Nicolle Grasse
House of Representatives
4/9/2025
Added Co-Sponsor Rep. Lilian Jiménez
House of Representatives
4/9/2025
Added Co-Sponsor Rep. Sharon Chung
House of Representatives
4/9/2025
Added Co-Sponsor Rep. Lisa Davis
House of Representatives
4/9/2025
Added Co-Sponsor Rep. Natalie A. Manley
House of Representatives
4/9/2025
Added Co-Sponsor Rep. Sonya M. Harper
House of Representatives
4/9/2025
Added Co-Sponsor Rep. Amy Briel
House of Representatives
4/9/2025
Added Co-Sponsor Rep. Jehan Gordon-Booth
House of Representatives
4/9/2025
Added Co-Sponsor Rep. Hoan Huynh
House of Representatives
4/10/2025
Arrive in Senate
Senate
4/10/2025
Placed on Calendar Order of First Reading
Senate
4/10/2025
Chief Senate Sponsor Sen. Lakesia Collins
Senate
4/10/2025
First Reading
Senate
4/10/2025
Referred to Assignments
Senate
4/23/2025
Assigned to Licensed Activities
Senate

Amendments

House Amendment 002

House Amendment 002

3/24/2025Not Adopted

House Amendment 001

House Amendment 001

3/18/2025Not Adopted

Roll Call Votes

Third Reading in House
4/9/2025
114
Yea
0
Nay
2
Not Voting
0
Absent
Result: PASSED